Accounts Receivable

For Billing Information by Service Type:

General Questions:
(262) 548-7697

To Pay by Phone:
(262) 548-7390

AODA Inpatient/Community Based Residential Facility:
(262) 548-7390

Community Support Program:
(262) 548-7289

Day Treatment/Treatment and Support Services Unit:
(262) 548-7279

Juvenile Services:
(262) 896-8426

Mental Health/AODA Outpatient:
(262) 548-7396

Mental Health Center Inpatient:
(262) 548-7213

Children's Long Term Support:
(262) 548-7291

The following are printable information sheets with fiscal information:

2022 Mental Health Center Inpatient Services
2023 Mental Health and Alcohol and Other Substance Use Billing Schedule
2021 Pricing Transparency
2021 Shoppable Pricing Transparency

Contracts

Base Contract Information:

2019 Contract Check List
2019 Purchase of Services Agreement
2019 Agreement for Psychiatric/Medical Services
Community Based Residential Facility (CBRF) Model Contract
Instructions for Computation of CBRF Rates

TPA Provider Information:

W-9
TPA Provider Billing and Service Form
Provider Registry

Contracts: Civil Rights Compliance

Vendors who have over $25,000 in funding from Waukesha County Department of Health and Human Services AND over 25 full time equivalent employees MUST complete a Civil Rights Compliance CRC Plan.

All vendors MUST complete and return a Letter of Assurance.

Contracts: Contact information with e-mail address

For questions or comments regarding HHS contracts:

Senior Financial Analyst
Call: (262) 548-7402 
Email: [email protected]

Audits

For questions or comments regarding Provider Audits or Audit Confirmations:

McKenna Kirschbaum
Health & Human Services Dept.
Financial Analyst
514 Riverview Avenue
Waukesha, WI 53188
Call: (262) 548-7728 
Email: [email protected]

Requirements:

If a provider receives $100,000 or more from purchases for services provided in a calendar year period, provider shall arrange for an independent financial and compliance audit pursuant to applicable federal guidelines plus those guidelines provided by the Wisconsin Department of Health and Family Services.

The provider is responsible for ensuring that each of its granting agencies receives the complete audit report within six months of the end of the fiscal period covered by the audit. If the audit report will be late, the provider must request a formal extension of the audit deadline from each granting agency. If the audit report is not received by the due date or extended deadline, the granting agency may impose sanctions on the provider for failure to fulfill the terms of its contract.

If a provider will require an audit waiver for an upcoming fiscal period, contact the granting agency before the final submittal of the contract for that fiscal period covered by the contract. Waiver requests must be received prior to execution of your Purchase of Services Agreement.

Key elements of the audit include, but are not limited to:

• Auditor's opinion
• Complete financial statements with related notes
• Report on Compliance
• Schedule of Findings and Questioned Costs
• Schedule of Expenditures of Federal and State Awards
• Reserve Supplemental Schedule/Allowable Profit Schedule
• Supplementary Schedule of Revenues and Expenses by Program
• Assurance the audit was performed in accordance with the PAAG
• Inclusion of Management letter, if issued
• Statement/Note regarding disclosure of salaries paid to Officers*
• Statement/Note regarding testing of client checking accounts and cash handling procedures in regards to client monies being held*

* Not a PAAG requirement, but a Waukesha County requirement.

Contact Information with email addresses

Other Links:
DHS Audit Guide
2021 Provider Agency Audit Guidelines (PAAG)
Allowable Cost Policy Manual